Pseudoseizures in children and adolescents with or without epilepsy

L. Saccomani, M. Cirrinione, M. Savoini, E. Zanotto, E. Cordella, A. Matricardi, F. Boragno

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

85 pts (34 ♂, 51 ♀, aged 5 1/2 -18 years) with seizures of uncertain epileptic origin were examined in the years from 1976 to 1987. The diagnostic method includes: accurate anamnesis, observation of the seizures by some experts; repeated EEG (standard, sleep-registration, telemetry, poligraphy, video-tape) with activation when necessary, heart examination and EKG. In 18% the EEG registration of the pseudo-seizures permitted a rapid diagnosis; in 70% the diagnostical iter was prolonged during the psychotherapeutic treatment; in 12% some doubts remained. 48 pts assumed AED and were considered to be resistant to therapy. 4 groups were singled out: 28 epileptic pts with epileptic seizures and pseudo-seizures; 39 pts with pure pseudo-seizures; 7 pts with syncopes; 11 pts with doubtful seizures (diagnostic uncertainty, between pure pseudo-seizures and combined with partial seizures). In the most immature pts, the somatisation appeared to be reactive to conflicts with the environment; short-term psychotherapy was successful. In adolescents with normal intelligence some forms of somatic conversion (a neurotic mechanism) were noticed; in these cases a long-term psychotherapy was necessary.

Original languageEnglish
Title of host publicationBollettino - Lega Italiana contro l'Epilessia
Pages67-69
Number of pages3
Edition62-63
Publication statusPublished - 1988

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Epilepsy
Seizures
Electroencephalography
Brief Psychotherapy
Telemetry
Syncope
Intelligence
Psychotherapy
Uncertainty
Sleep
Electrocardiography
Observation
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Saccomani, L., Cirrinione, M., Savoini, M., Zanotto, E., Cordella, E., Matricardi, A., & Boragno, F. (1988). Pseudoseizures in children and adolescents with or without epilepsy. In Bollettino - Lega Italiana contro l'Epilessia (62-63 ed., pp. 67-69)

Pseudoseizures in children and adolescents with or without epilepsy. / Saccomani, L.; Cirrinione, M.; Savoini, M.; Zanotto, E.; Cordella, E.; Matricardi, A.; Boragno, F.

Bollettino - Lega Italiana contro l'Epilessia. 62-63. ed. 1988. p. 67-69.

Research output: Chapter in Book/Report/Conference proceedingChapter

Saccomani, L, Cirrinione, M, Savoini, M, Zanotto, E, Cordella, E, Matricardi, A & Boragno, F 1988, Pseudoseizures in children and adolescents with or without epilepsy. in Bollettino - Lega Italiana contro l'Epilessia. 62-63 edn, pp. 67-69.
Saccomani L, Cirrinione M, Savoini M, Zanotto E, Cordella E, Matricardi A et al. Pseudoseizures in children and adolescents with or without epilepsy. In Bollettino - Lega Italiana contro l'Epilessia. 62-63 ed. 1988. p. 67-69
Saccomani, L. ; Cirrinione, M. ; Savoini, M. ; Zanotto, E. ; Cordella, E. ; Matricardi, A. ; Boragno, F. / Pseudoseizures in children and adolescents with or without epilepsy. Bollettino - Lega Italiana contro l'Epilessia. 62-63. ed. 1988. pp. 67-69
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AU - Matricardi, A.

AU - Boragno, F.

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